Information

  • Technician Name

  • Photo of Lead

  • Company

  • Capability

  • Business Unit

  • Type of Assessment

  • Vehicle Make

  • Vehicle Model

  • Front photo of Vehicle

  • Conducted on

  • Prepared by

Scoping

  • Did technician complete a successful scope highlighting a like for like aerial install with agreed internal wiring path and ONT install location?

  • Did technician complete a successful scope where no existing / usable duct was available with agreed install wiring path and ONT install location?

Mandatory Tools and Equipment

  • Air Compressor - For fibre blowing (Must be Oil less)

  • Compressor Serial Number - if has one

  • 10m Air Compressor Rubber pipe/tube<br>

  • Power Generator/Invertor <br>Mandatory unless Air Compressor above is Self Powered)

  • FIP Serial Number

  • Heavy duty Power Extention Lead

  • Blowing Gun Chorus Approved

  • Blow Gun Serial Number

  • 100m Push Rod

  • Concrete Saw 10mm blade & Diposable Grout Bags for Reinstatement

  • Plastic water container - 20l

  • Cones - 900mm high with reflectors

  • Barriers - reflective

  • Pedestrian Signs

  • Grafting Spade

  • Trenching Shovel Long Handle

  • Rake Steel

  • Trench Tamper - Rammer

  • Brush - Broom

  • Manhole lifter - Combination lifter

  • Manhole lifter - Sika blue lift

  • Hammer Claw 20oz

  • Screw Driver set

  • Crimping tool UR/UY/UG - Scotch Locks

  • Culking Gun - (For Gel/Silicone seal)

  • Micro duct cutter (Festo)

  • Tri Wing screwdriver

  • Punch down Tool - 110

  • Punch down Tool - Krone

  • CrimpingTool RJ45 / RJ12<br>

  • Copper Tone Source - Beep it Tone and Probe<br>

  • Fibre Sharps disposal can

  • Fibre connector cleaner

  • Fibre Inspection Probe (FIP Tester)

  • FIP Serial Number

  • Power Metre JDSU (prefered)

  • Fibre Fusion Splicer

  • Splicer Serial Number

  • Fibre Optic stripper Chorus approved

  • Kevlar Scissor

  • P-touch label machine or similar

  • Drill Hand Held 18v preferable

  • Drill Bit - Auger 8mm wood

  • Drill Bit - Concrete / Masonary 8mm

  • Bosch Power detector PM10

  • Step ladder

  • 6 meter extention ladder

  • Harness suitable for pole work

  • Pole safety belt

  • First Aid kit

  • Hi-Vis Jacket (acceptable condition)

  • Hard Hat (acceptable condition)

  • Safety Glasses (acceptable condition)

  • Gloves Leather (acceptable condition)

  • Steel cap boots with laces (acceptable condition)

  • Chorus Branding on Vehicle

  • VisionStream Branding on Vehicle

  • SHEWMS Folder Present

Additional Tooling Required

  • Sledge Hammer 10LB - concrete breaking

  • Multi-duct ratchet cutter

  • Double sheath cutter (26-way duct cutter) - depth control

  • Micro-duct cutter

  • Hack Saw

  • Utility Service locator

  • Plastic Water Container - 20L

  • Measuring Wheel

  • Tent and Metal Tent frame

  • Pole Buckets - Canvas

  • Strapping Tool - Bandit Strap for steel strapping on poles

Health & Safety walk through

  • Did technician complete a Take 5 correctly?

  • Did technician complete SHEWMS correctly?

  • Did technician demonstrate correct site safety in setting up work site with cones & barriers while maintaining minimum site safety distance?

  • Did technician complete a comprehensive pole inspection to detect if pole was safe to climb?

Boundary Joint

  • Micro-duct ends have a clean cleave on the end

  • Connector fitted correctly and firmly to the ruggerdised single-way service lead?

  • Are the tubes installed correctly inside the straight through connector?

  • Is the fibre clearly visible in the centre of the straight through connector?

  • Both ends of joint closure zip-tied

  • Photo evidence of final outcome/result

  • Comments:

Surface Mounting

  • Entry and exit of surface moutned cabling is in HDPE 16m piping or White PVC pipe

  • Used approved P-clips and galvanised or stainless steel screws? For use when fastening P-clips to wooden structures)

  • Fixings where ducting is horizontally supported has consistent spacing of 600mm maximum, or 300mm maximum for unsupported surface, closer if required

  • Effort has been made to find the least conspicuous location possible, with little or no chance of damage - for example under fence rails, in brick grout tracks and between retaining wall planks

  • Photo evidence of final outcome/result

  • Comments:

Aerial Termination

  • Ladder complies and fitted with pole strap

  • Candidate now how to fit harness

  • Pole test completed and compliant

  • Candidate now how to fit harness

  • MAD approach distances observed when working in the vicinity of overhead power

  • New screw eye installed on premises with anchoring clamp (wedge clamp OR Q-clamp)

  • External fittings are CNSP approved UV stable black p-clips, or galvanised or stainless steel saddles

  • Where ducting is horizontally supported it has consistent spacing of 600mm maximum

  • Where ducting is not horizontally supported it has consistent spacing of 300mm maximum, cloer if required

  • Q-clamp ONLY - It has 2.5 turns around the drum of the Q-clamp and exits the cable using the B aperature located on the lower part of the clamp

  • Photo evidence of final outcome/result

  • Comments:

Installing an FTP

  • FTP installed between 300mm and 1500mm above ground level

  • Was a power locator used to confirm location of mains power prior to positioning of the FTP?

  • Cabling is installed in a white 20mm PVC or 16mm HDPE pipe to the FTP?

  • The starbust laser warning label is fitted to the front of the FTP - bottom centre

  • All outdoor fittings are galvanised or stainless stell (not zinc plated) No dissimilar metals

  • All splice connections within an FTP are made using 45mm heat shrink splice protector?

  • Ruggerdised single-way brass coated steel locate cables are capped with a copper two-port connector to avoid the sharp ends causing injury?

  • Filo-foam gas seal has been installed

  • Sheath of the direct buried micro-duct 20mm up from the inside of the FTP box

  • Ensure 1.5m excess fibre is left inside the FTP end

  • Photo evidence of FTP results/final outcome

  • Comments:

Installing an ONT

  • ONT installed 300mm to 1500mm above ground level

  • ONT installed in dry secure position

  • SC/A fibre pigtail is fusion spliced onto the ONT end of the fibre from FTP

  • SC/A pigtail connector is plugged directly into the ONT if using the ONT fibre tray

  • Fibre preparation followed through

  • Fibre inspected and tested

  • Ensure 1.5m excess fibre is left at the ONT location end

  • All splice connections within the ONT are made using 45mm heat shrink splice protector

  • Fibre managed neatly within ONT fibre tray and enough excess fibre

  • Photo evidence of final outcome/result

  • Comments:

Installing an ITP

  • 4xcat5e copper pairs are routed out of the ONT back splice tray and into an ITP where it is terminated ito a Cat6 RJ45 keystone

  • White/blue-white wiring terminated onto the RJ45 keystone (blue in position 4 and white on position 5)

  • Are all the other pairs capped/insulated

  • Is the outlet labelled witin its function e.g. voice output/ITP

  • UTP patch cord is used to terminate from the ONT or RGW ATA voice output to the RJ45 at the ITP

  • Indication given if ITP connected to house wiring via jackpoint OR existing ETP cabling

  • Photo evidence of final outcome/result

  • Comments:

Flash 9 Fibre Termination

  • ABFU routed to target SC tray listed on the service order?

  • Every ABFU tube has a divisible seal installed

  • 1.2m of ABFU on tray from tray entry point on the left

  • Splitter tail routed through from the tray entry point on the right hand side

  • Stray fibres and spare fibres are retained and managed back within the trays and routing guides

  • Photo evidence of final outcome/result

  • Comments:

Labeling

  • Customer address on label

  • Splitter details on the label

  • Micro-duct number on label

  • Length of ABF on label

  • Photo evidence of final outcome/result

  • Comments:

Group discussion Q&A

  • Did technician take an active part in group discussion answering an equal amount of questions as the rest of the group?

Overall Summary

  • General Outcome of Assessments taken:

  • Skills Assessments Overall:

  • Tools Check:

  • Breakdown of Tasks:

  • Verbal Assessment: (Group Discussion)

  • H&S:

  • Scoping:

  • Boundary Joint:

  • Surface Mounting:

  • Installing FTP:

  • Installing ONT:

  • Installing ITP:

  • Aerial Termination:

  • Labelling:

  • Flash-9 Management:

  • Overall Comments on outcome:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.